Derek Kern Hewitt, MD is a medicare enrolled "Otolaryngology" physician in Prescott, Arizona. He went to University Of Utah School Of Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Prescott Ear Nose And Throat Pllc and his current practice location is
1125 W Iron Springs Rd, Prescott, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 778-9190.
Derek Kern Hewitt is licensed to practice in Missouri (license number T2003013836) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083718266.
Physician's Profile
| Full Name | Derek Kern Hewitt |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 22 Years |
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| Location | 1125 W Iron Springs Rd, Prescott, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Derek Kern Hewitt attended and graduated from University Of Utah School Of Medicine in 2003
NPI Data:
- NPI Number: 1083718266
- Provider Enumeration Date: 09/11/2006
- Last Update Date: 08/14/2012
Medicare PECOS Information:
- PECOS PAC ID: 6709958903
- Enrollment ID: I20111209000805
Medical Identifiers
Medical identifiers for Derek Kern Hewitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083718266 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Y00000X | Otolaryngology | T2003013836 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Prescott Ear Nose And Throat Pllc | 3779562749 | 4 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Derek Kern Hewitt allows following entities to bill medicare on his behalf.
| Entity Name | Prescott Ear Nose & Throat Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811198393 PECOS PAC ID: 3779562749 Enrollment ID: O20040714001453 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derek Kern Hewitt is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Derek Kern Hewitt, MD Po Box 7687, Columbia, MO 65202 Ph: (573) 882-2259 | Derek Kern Hewitt, MD 1125 W Iron Springs Rd, Prescott, AZ 86305-1623 Ph: (928) 778-9190 |
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